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Organization
BACK TO ACTION PHYSICAL THERAPY PLC
Active
Organization
BACK TO ACTION PHYSICAL THERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D GRANT PT ATC EDM (OWNER)
(802) 496-5340
Entity
Organization
Contact information
Practice address
4740 MAIN STREET, WAITSFIELD, VT 05673
(802) 496-5340
(802) 496-4262
Mailing address
4740 MAIN STREET, WAITSFIELD, VT 05673
(802) 496-5340
(802) 496-4262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BATK00058703
BCBS
VT
Enumeration date
03/20/2006
Last updated
08/22/2020
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